Active NPI
Blaire M Hines, LSCSW
- Clinical Social Worker
- Lawrence, KS
National Provider Identifier
1922489954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05955
- Practice address
- 200 Maine St Ste a
Lawrence, KS 66044-1396 - Phone
- (785) 830-1882
- NPI assigned
- Jun 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00822 | KS | |
| Clinical Social Worker | 1041C0700X | 2023002041 | MO | |
| Clinical Social Worker | 1041C0700X | 05955 | KS | Primary |
Addresses
Primary practice location
200 Maine St Ste a
Lawrence, KS 66044-1396
Mailing address
4241 N Grand Ave
Kansas City, MO 64116-4516
Phone (816) 797-7576
Other practice location 1
500 State Hospital Dr
Osawatomie, KS 66064-1813
Phone (913) 755-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00822 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 2023002041 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1922489954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4241 N GRAND AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641164516",
"telephone_number": "816-797-7576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MAINE ST STE A",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441396",
"telephone_number": "785-830-1882"
}
],
"practiceLocations": [
{
"address_1": "500 State Hospital Dr",
"address_purpose": "LOCATION",
"city": "Osawatomie",
"state": "KS",
"postal_code": "660641813",
"country_code": "US",
"telephone_number": "913-755-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINES",
"first_name": "BLAIRE",
"middle_name": "M",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "00822",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2023002041",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "05955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.